Minnesota Hospital Association

Policy & Advocacy

Health Care Reform

The Minnesota Hospital Association is committed to keeping our members informed about federal and state health care policies and the impact they may have on hospitals and patients.

On behalf of our 142 hospitals and health systems, MHA places a priority on preserving health care coverage for low-income Minnesotans. In addition, we want Minnesotans to have meaningful insurance coverage for all essential health care services. We cannot support a return to a system that increases our rate of uninsured; re-creates a reliance on the emergency room; and discourages preventive care, mental health care, routine screenings and other health care throughout a person’s lifetime. Read our statement.

American Health Care Act

In March 2017, U.S. House Republicans introduced the American Health Care Act (AHCA), a bill repealing the Affordable Care Act (ACA). The bill makes significant changes to the current Medicaid entitlement program and to the ACA’s insurance provisions. The bill passed in the House. 

Better Care Reconciliation Act

In June 2017, the U.S. Senate unveiled its draft bill to repeal and replace the Affordable Care Act, the BCRA. The bill was similar to the AHCA, passed in May, but made deeper cuts and structural changes to Medicaid. There was no vote on this bill.  

Senate Republicans in July released a revised health care bill to repeal and replace the ACA. In addition to previous concerns about the proposed BCRA Medicaid cuts and reduced funding for Medicaid expansion, the revised bill also reduced coverage for essential benefits by allowing insurers to sell plans that offer fewer benefits than currently required under the ACA, as long as they also sell plans that do comply with all ACA requirements. Votes were held on this bill and amendments in late July with none passing. 


The Minnesota Department of Human Services (DHS) created a website that provides information about the ACA and the potential effects of its proposed repeal on Minnesotans. Visit the website to access issue briefs, news updates and policy analyses. MHA will continue to work with hospital members and with the Minnesota congressional delegation to provide information on how the legislation will impact Minnesota’s hospitals and their patients.